Individual
ATHENA BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1334 N 19TH ST APT A, CLARKSBURG, WV 26301-1688
(304) 629-8084
Mailing address
1334 N 19TH ST APT A, CLARKSBURG, WV 26301-1688
(304) 629-8084
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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